Growth Development NCLEX Questions_ Spring 2023.

Growth & Development NCLEX Questions_ Spring 2023.A 2-year-old has been biting other children at daycare. Which response by the nurse to the parent is appropriate?

Hint: Mental and Spiritual Health

• "Encourage the daycare staff to separate the child immediately from the situation and use

time-out."

• "Ask the daycare staff to call you, then go bite your child, so she understands it hurts."
• "Switch daycares; it's obvious there are problems there with the staff."
• "Tell the child she will be spanked if it happens again and follow through with it."
• (Correct ANS)A

A 4 year old has been toilet-trained becomes incontinent when hospitalized for surgery. What is the most appropriate nursing diagnosis based on this assessment finding?

• growth and development, altered r/t incontinence
• ineffective individual coping r/t hospitalization

c.urinary elimination, altered r/t incontinence d.Coping, defensive r/t stress of hospitalization - (Correct ANS)D A 13-year-old female and her mother come to the school-based health clinic to obtain birth control pills. The nurse does not personally approve of this measure. After the nurse provides sexuality education, the mother insists on obtaining the pills for her daughter. Which action by the nurse is acceptable?

• Report the parent to child protective services.
• Ask another nurse to work with this situation.
• Refer the child and mother to family counseling.
• Refuse to provide the pills, because the child is so young. - (Correct ANS)B

A 14 year old has been diagnosed with insulin-dependent diabetes. Which technique is most appropriate in order to facilitate coping with this diagnosis?a.warn the teen of the consequences of noncompliance b.introduce the adolescent to another teenager who is successfully managing his diabetes c.give the adolescent specific instructions

• encourage increased dependence on the teen's parents for several weeks - (Correct ANS)B 1 / 2

A 15-year-old female tells the clinic nurse that she is worried she will get pregnant like her sister did. What questions should the nurse ask to determine what teaching response is needed? (Select all that apply.)

• "Are you sexually active now?"
• "Do your parents know you are sexually active?"
• "What age was your sister when she became pregnant?"
• "What steps are you taking to prevent pregnancy now?"
• "Have you talked to your sister about your fear?" - (Correct ANS)A

A 15-year-old mother of a 2-month-old infant says, "My baby cries all the time. I just don't know what to do." A response by the nurse that could positively influence the infant and

mother would be to:

• Suggest the mother give the baby up for adoption.
• Teach the mother to feed the infant when she cries.
• Tell the mother to make sure that the baby's blankets are loose so the baby is comfortable.
• Encourage the mother to call the office if she gets frustrated and does not know what to do. -

(Correct ANS)D A 16-year-old female complaining of abdominal pain is waiting in the exam room with her mother. It is important that the nurse assess whether the girl is sexually active. What action should the nurse take to gather the data?

• Suggest to the girl and mother that the mother can join her after the exam to discuss any

findings with the physician.

• Ask the mother to leave the room when sexual history questions will be asked.
• Ask the girl whether she is sexually active, because the mother needs to know and be

involved.

• Let the physician ask the question, so the girl does not have to discuss it twice. - (Correct

ANS)A A 17-year-old is planning to attend college after high school graduation. The school nurse informs the student that a healthcare visit needs to be scheduled prior to the start of college for what primary purpose?

• To assess whether there are any health problems that could interfere with the student's

performance

• To allow the student to obtain birth control pills
• To obtain immunization updates
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